Effect of Dual Task Training On

Lower Extremity Function And

Quality of Life In Post stroke
patients
 Introduction
• Stroke was defined by the world health organization (WHO) more then 40 years
ago as “rapidly developing clinical signs of focal ( or global ) disturbance of
cerebral function, lasting more then 24 hours or leading to death, with no
apparent cause than other than that of vascular origin”.

• Most stroke survivors suffer from motor, sensory, cognitive, perceptive,

psychological, and social impairment.

• Hemiparesis strictly defined as muscular weakness or partial paralysis of one side

of the body is present in three quarters of stroke survivors. It has been proposed
that slow walking speeds following stroke are causally related to an inability to
generate sufficient lower limb power to meet task demands of body forward
progression.
• The stroke patients with limited cognitive status and attention may
have difficulty performing 1 activity or at least 2 activities as a time.

• Stroke patients have lower walking speeds and shorter duration of

walking. Their daily functions are also limited and they cannot
complete certain simultaneous tasks, such as conversing while talking.

• According to the task integration hypothesis, single task training does

not permit the concurrent performance of 2 tasks, whereas dual-task
training allows the coordination of various tasks via the simultaneous
performances of 2 or more tasks.
• Dual task walking is also considered as a standard measures to
understand the relationship between cognitive ability and gait. thus,
patients with stroke may need special attention while walking and to
perform another activity.

• Accordingly, one of the main purposes of treatment for post-stroke

patients is to improve certain lower-extremity functions, such as
walking abilities, and ameliorate spasticity. Enhanced lower extremity
functions can expand patients’ functional participation in activities of
daily living (ADL) and improve QAL.

• Thus, the interest of the researchers in the motor dual-dual training

approach as a neurophysiologic procedure, and as an additional
procedure to the conventional rehabilitation of stroke to restore
patients balance is increasing extensively.
• Thus in general literature focuses on assessment of motor dual task
performance of stroke patient. To our knowledge, there is no study
reporting the effects of dual-task training as a treatment modality on
clinical finding of patients with stroke. Therefore the purpose of the
study is to find out the effect of dual-task training on lower limb
function and quality of life in post stroke patients.
 Review Of Literature
• 1 Yagmur tetik aydogdu onur andodu H. serap inal at al in 2018
conducted a study on the effects of dual-task training on patient
outcomes of institutionalized elderly having chronic stroke. It was a
randomized controlled trial carried out in 53 geriatric diagnosed with
stroke . They have given verbal cognitive tasks while patients were
walking with dual-task training. They found a significant improvement
in outcomes of balance and mobility of elderly in both groups
(p<0.05). However, the difference was significant in favour of the
dual-task group (p<0.05). They also found that a positive correlation
between balance and educational level of the elderly in dual-task
group (r=0.409,p=0.043) (p<0.05).
• 2 Sweety subha. P at al in 2019 conducted a study on effect of single
task training verses motor dual task training on functional balance in
post stroke patients. They found that in both groups, balance
significantly improved in berg balance scale. Compared with single
task group; the motor dual task training group attained very
statistically significant improvement. The difference in the pre and
post interventional score for motor dual task training group was 2.733
plus minus 1.534 this difference is considered to be very statistically
significant.
• 3 Gye yeop kim at al 2014 conducted a study on effect of dual-task
rehabilitative training on cognitive and motor function of post stroke
patients. They found that dual-task training improved cognitive and
walking abilities, and dual-task subject performance better than
single-task training subjects performance.